Jennifer Basini, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00051700 Issued in NJ

Practice address

1 Lake Dr
Randolph, NJ 07869-4165

Phone

(908) 647-4800

NPI assigned

Feb 21, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2013.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1982944302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKE DR",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKE DR",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694165",
            "telephone_number": "908-647-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASINI",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00051700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Barbaro, RDN
• Lisa Barmore
• Bernard Ivan Barrish, D.M.D.
• Bernadette Barry, NP
• Victoria Bartolomeo
• Melanie Jean Bateman, BSC (HON)PHARMACY
• Be Beautiful Foundation
• Walter Mario Beckford, O.D.
• Bruce Michael Benerofe, M.D.
• Lara Dionne Beneshan, L.AC.

• All providers in Randolph, NJ
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.